KERRY RANDOLPH M.D.
NPI 1063531390
Internal Medicine in Springfield, MO
NPI Status: Active since March 28, 2007
Contact Information
3525 S NATIONAL AVE
STE 101
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-5711
- Individual
- Male
- Internal Medicine
About KERRY RANDOLPH
This page provides the complete NPI Profile along with additional information for Kerry Randolph, an internist established in Springfield, Missouri with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1063531390 assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X with license number R9C05 (MO). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1063531390
- Provider Name
- KERRY RANDOLPH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3525 S NATIONAL AVE STE 101 SPRINGFIELD, MO 65807
- Location Phone
- (417) 269-5711
- Mailing Address
- PO BOX 4046 SPRINGFIELD, MO 65808
- Mailing Phone
- (417) 269-6262
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2007
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Kerry Randolph is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R9C05
- License State
- MO
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27694 | OTHER (01) | ANTHEM BLUECROSS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 5 | 3 | 1 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 10 | 3 | 2 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 0 + 3 + 2 + 3 + 1 + 8 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1063531390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386643773 | STEVEN DALE ATWOOD M. D. Individual | Specialist | 3525 S NATIONAL AVE STE 206 SPRINGFIELD, MO 65807 (417) 269-9200 |
| 1184657058 | LESTER E COX MEDICAL CENTERS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 3525 S NATIONAL AVE SUITE 102 SPRINGFIELD, MO 65807 (417) 269-7082 |
| 1710061965 | LESTER E. COX MEDICAL CENTERS Organization | Family Medicine | 3525 S NATIONAL AVE SUITE 202 SPRINGFIELD, MO 65807 (417) 269-9710 |
| 1700950912 | REGIONAL SERVICES Organization | Family Medicine | 3525 S NATIONAL AVE SUITE 202 SPRINGFIELD, MO 65807 (417) 269-9710 |
| 1568794477 | STEVEN D ATWOOD, MD FACP Organization | Internal Medicine | 3525 S NATIONAL AVE SUITE 206 SPRINGFIELD, MO 65807 (417) 269-9200 |
| 1992100333 | CLINT CARROZ ATC, MED Individual | Specialist/Technologist (Athletic Trainer) | 3525 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 269-5530 |
| 1922452457 | DR. STEFANIE HAWKINS PHARMD Individual | Pharmacist (Ambulatory Care) | 3525 S NATIONAL AVE SUITE 207 SPRINGFIELD, MO 65807 (417) 269-9220 |
| 1225016637 | DR. MANUEL CAMEJO M.D Individual | Obstetrics & Gynecology | 3525 S NATIONAL AVE SUITE 107 SPRINGFIELD, MO 65807 (417) 269-9460 |
| 1174693709 | REGIONAL SERVICES Organization | Nurse Practitioner | 3525 S NATIONAL AVE #101 SPRINGFIELD, MO 65807 (417) 269-9950 |
| 1326080276 | DR. NABIL S. KAMEL M.D. Individual | Internal Medicine (Geriatric Medicine) | 3525 S NATIONAL AVE #207 SPRINGFIELD, MO 65807 (417) 269-9220 |
| 1578507059 | JON F SNOW MD Individual | Preventive Medicine (Aerospace Medicine) | 3525 S NATIONAL AVE STE 101 SPRINGFIELD, MO 65807 (417) 269-9950 |
| 1255749511 | MS. KRISTIN L TORGERSON FNP Individual | Nurse Practitioner | 3525 S NATIONAL AVE #101 SPRINGFIELD, MO 65807 (417) 269-9950 |
| 1891790408 | MR. LARRY K CHASE MD Individual | Preventive Medicine (Undersea and Hyperbaric Medicine) | 3525 S NATIONAL AVE STE 101 SPRINGFIELD, MO 65807 (417) 269-9950 |
| 1174693444 | LESTER E. COX MEDICAL CENTERS Organization | Clinic/Center | 3525 S NATIONAL AVE #101 SPRINGFIELD, MO 65807 (417) 269-9950 |
| 1003980228 | REGIONAL SERVICES Organization | Family Medicine | 3525 S NATIONAL AVE #307 SPRINGFIELD, MO 65807 (417) 269-9220 |
| 1598862567 | DR. OVAIS ZUBAIR M.D. Individual | Internal Medicine | 3525 S NATIONAL AVE SUITE 207 SPRINGFIELD, MO 65807 (417) 269-9220 |
| 1922430065 | LATOYA M. COMPTON FNP Individual | Nurse Practitioner (Family) | 3525 S NATIONAL AVE #207 SPRINGFIELD, MO 65807 (417) 269-9220 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063531390, enumerated in the NPI registry as an "individual" on March 28, 2007
The provider is located at 3525 S National Ave Ste 101 Springfield, Mo 65807 and the phone number is (417) 269-5711
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 28, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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